The nurse is performing Leopold's maneuvers on her patient. Which figure depicts the Leopold's maneuver that determines whether the fetal presenting part is engaged in the maternal pelvis? Refer to Figures A to D.

Question

Quizplus · Accepted Answer

The maneuver that determines whether the presenting part is engaged (widest diameter at or below a zero station) in the maternal pelvis is performed by palpating the suprapubic area. Next, an attempt is made to grasp the presenting part gently between the thumb and fingers. If the presenting part is not engaged, the grasping movement of the fingers moves it upward in the uterus. If the presenting part is engaged, the fetus will not move upward in the uterus. Palpating the uterine fundus distinguishes between a cephalic and breech presentation. Holding the left hand steady on one side of the uterus while palpating the opposite side of the uterus determines on which side of the uterus is the fetal back and on which side are the fetal arms and legs. Placing your hands on each side of the uterus with fingers pointed toward the inlet determines whether the head is flexed (vertex) or extended (face).

The Nurse Is Performing Leopold's Maneuvers on Her Patient